• Archives of Plastic Surgery
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• v.50 no.2
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• pp.220-221
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• 2023

Microsurgical peripheral nerve repair is a technical and challenging procedure that requires thorough training prior to a real-life operating theater scenario. While the gold standard in training remains training on biological living peripheral nerve specimen, various inanimate models of nerve repair simulation have been described in the past years. The textile elastic band (TEB) obtained from a surgical mask was either covered with a fine silicone sheath or was left bare and was used afterward for end-to-end coaptation. The average diameter of the TEB was 2 mm, similar with the nerves in the distal hand and can be easily crafted out of accessiblematerials such as a surgicalmask and silicone sealant. The silicone that covers the TEB offers more fidelity to the simulation for microsurgical nerve coaptation. The TEB model offers an affordable, available, and easy-to-craft alternative to the existing models for peripheral nerve repair simulation and serves as a good initiation tool before moving on to biological specimens.

• Clinics in Shoulder and Elbow
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• v.22 no.4
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• pp.195-202
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• 2019

Background: This study investigates the effects of neuromuscular electrical stimulation (NMES) in preventing deltoid atrophy during the first 12 weeks after arthroscopic rotator cuff repair. Methods: Eighteen patients undergoing arthroscopic repair of a medium-sized rotator cuff tear by a single surgeon, were randomized into two groups: NMES and transcutaneous electrical nerve stimulation (TENS). Each group used the respective device for 6 weeks after surgery. Pain was measured at baseline, 6, and 12 weeks postoperatively, using the visual analogue scale (VAS); range of motion (ROM), abduction strength and functional scores were measured at baseline and 12 weeks postoperatively. Deltoid thickness and cross-sectional areas were measured using magnetic resonance imaging at 12 weeks postoperatively. Results: At 12 weeks post-surgery, no statistically significant difference was observed between the NMES and TENS groups in the pain VAS, the Disabilities of the Arm, Shoulder and Hand score, ROM, and abduction strength. Postoperative decrease in the thickness of the anterior, middle, and posterior deltoid, at the level just below the coracoid, was -2.5%, -0.7%, and -6.8%, respectively, in the NMES group, and -14.0%, -2.6%, and -8.2%, respectively, in the TENS group (p=0.016, p=0.677, and p=0.791, respectively). At the level of the inferior glenoid tubercle, postoperative decrease in area of the deltoid was -5.4% in the NMES group and -14.0% in the TENS group, which was significantly different (p=0.045). Conclusions: NMES has the potential for reducing deltoid atrophy after arthroscopic rotator cuff repair, suggesting that NMES might help minimize postoperative atrophy after various shoulder surgeries.

• Physical Therapy Rehabilitation Science
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• v.10 no.4
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• pp.463-469
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• 2021

Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.

• Proceedings of the Korea Concrete Institute Conference
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• 2004.05a
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• pp.1-9
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• 2004

Repair of concrete structures has been a focus of attention in recent years not only in Japan but also worldwide. Concrete structures have fallen short of expectations at the time of construction-they should have been perpetual and maintenance-free. However, investigation into their premature deterioration reveals the primary causes: Concrete was made using inadequate materials and/or inadequate mixture proportions due to insufficient consideration and was placed inadequately under insufficient execution control. The secondary causes include insufficient consideration at the time of construction for the environmental conditions to which the structures were to be exposed. In any event, in the current economic climate, structures cannot be demolished and rebuilt as soon as they are damaged, but instead are expected to continue to be in service as long as possible with appropriate repair or retrofitting. This paper analyzes the causes of deterioration requiring repair and introduces relevant repair techniques. At the end, the repair project of the Sanyo Shinkansen Line in which the author was involved through committee activities is reported.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2002.10a
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• pp.335-338
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• 2002

• Korean Journal of Construction Engineering and Management
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• v.16 no.1
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• pp.52-63
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• 2015

Business facilities among domestic architectures have rapidly been constructed along with domestic economic development. It is an important facility taking the second largest proportion next to apartment buildings among current 31 building types of fire department classification of 2012 year for urban architectures. The expected service life of business facilities is 15 years, but 70% of those in urban areas have surpassed the 15 year service life as of the present 2014. Thus, the demand for urgent rehabilitation of such facilities is constantly increasing due to the aging and performance deterioration of the facilities'main finishing materials. Especially, the business facilities are being used for the lease of company office or private office, and such problems as aging and performance deterioration of the facilities could cause less competitive edge for leasing and real estate value depreciation for the O&M (Operation & Management) agent and the owner, respectively. Therefore, an effective planned rehabilitation as a preventive measure according to the standardized repair rate by the number of years after the construction is in need in order to prevent the aging and performance deterioration of the facilities(La et al. 2001). Nonetheless, domestic repair/rehabilitation standards based on the repair rate are mainly limited to apartment buildings and pubic institutions, resulting in impractical application of such standards to business facilities. It has been investigated and analyzed that annual repair rate data for each finishing material are required for examination of the applicability of the repair rate standard for the purpose of establishment of a repair plan. Hence, this study aimed at developing a repair rate computation model for finishing materials of the facilities and verifying the appropriateness of the annual repair rate for each finishing material through a case study after collecting and analyzing the repair history data of six business facilities. The results of this study are expected to contribute to the planning and implementation of more efficient repair/rehabilitation budget by preventing the waste of unpredicted repair cost and opportunity cost for the sake of the business facilities' owners and O&M agents.

• Clinics in Shoulder and Elbow
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• v.24 no.3
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• pp.123-124
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• 2021

• Computers and Concrete
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• v.19 no.4
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• pp.413-417
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• 2017

Concrete is a material popularly used in construction. Due to the load-bearing and external environmental factors during utilization or manufacturing, its surface is prone to flaws, such as crack and leak. To repair these superficial defects and ultimately and avoid the deterioration of the concrete's durability, numerous concrete surface protective coatings and crack repair products have been developed. Currently, studies are endeavoring to exploit the mineralization property of microbial strains for repairing concrete cracks be the repairing material for crack rehabilitation. This research aims to use bacteria, specifically B. pasteurii, in crack rehabilitation to enhance the flexural and compression strength of the repaired concrete. Serial tests at various bacterial concentrations and the same $Urea-CaCl_2$ medium concentration of 70% for crack rehabilitation were executed. The results prove that the higher the concentration of the bacterial broth, the greater the amount of calcium carbonate precipitate was induced, while using B. pasteurii broth was for crack rehabilitation. The flexural and compression strengths of the repaired concrete test samples were the greatest at 100% bacterial concentration. Compared to the control group (bacterial concentration of 0%), the flexural strength had increased by 32.58% for 1-mm crack samples and 51.01% for 2-mm crack samples, and the compression strength had increased by 28.58% and 23.85%, respectively. From the SEM and XRD test results, a greater quantity of rectangular and polygonal crystals was also found in samples with high bacterial concentrations. These tests all confirm that using bacteria in crack rehabilitation can increase the flexural and compression strength of the repaired concrete.

• Journal of the Korean Society of Hazard Mitigation
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• v.7 no.3
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• pp.33-39
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• 2007

This paper presents a detailed experimental study on the engineering and durability properties of nano mixed inorganic repair material with rehabilitation and enhancement of performance of concrete structure occur to crack. The performance of specimens was evaluated using bond strength, chloride ion ingress, carbonation and brine resistance. It was shown in the results of the experiments that it had a superior function in the bond strength under the standard and wet-dry condition of all the repair material. Moreover, it had a good function in the experiments for chloride ion ingress, carbonation and brine resistance. Judging from the above-mentioned results, it is expected to be used for the rehabilitation and enhancement of the performance of concrete structure.

• Magazine of the Korea Concrete Institute
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• v.7 no.6
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• pp.5-13
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• 1995